Your brain orchestrates a symphony of sensory input and motor output every millisecond of every day. When this coordination breaks down – whether from concussion, dysautonomia, migraine, or other neurological conditions – the effects ripple through every aspect of your life. At Aura Functional Neurology Center, we use the advanced Neuro Sensorimotor Integrator to assess and retrain these critical brain connections, helping restore the harmony between what you sense and how you respond.
Beyond Basic Coordination Testing
The NSI represents a quantum leap beyond traditional neurological testing. Using a 50-inch HD touchscreen and sophisticated tracking technology, this system reveals how your brain processes multiple streams of information simultaneously – something a standard exam simply cannot capture.
For patients with “invisible” conditions like Long COVID brain fog, post-concussion syndrome, or functional neurological disorder, the NSI often provides the first objective evidence of what they’ve been experiencing. It shows exactly where the breakdown occurs between sensory input and motor output, validating symptoms that others may have dismissed.
Dr. Diana Tyler DC, DACNB
Founder of Aura Functional Neurology Center. Board Certified Chiropractic Neurologist and neurorehabilitation specialist with extensive experience treating neurological cases at the Aura FNC office located in Cumming, Georgia. Graduate of Palmer College of Chiropractic and Diplomate of the American Chiropractic Neurology Board.
What the NSI Evaluates
This sophisticated system assesses over 40 different aspects of neurological function across 13 categories:
Visual Processing
- Smooth pursuit eye movements (tracking)
- Saccadic eye movements (quick jumps between targets)
- Visual reaction time and processing speed
- Peripheral awareness and visual field integration
Sensorimotor Integration
- Eye-hand coordination
- Bilateral integration (using both sides together)
- Visual-motor skills
- Timing and sequencing
Cognitive-Motor Function
- Working memory with movement
- Attention during multitasking
- Executive function under challenge
- Decision-making speed
Balance Integration
- Visual-vestibular coordination
- Postural control during cognitive tasks
- Dynamic balance with sensory challenges
The Assessment Experience
During your evaluation at our Cumming, Georgia office, you’ll interact with the large touchscreen while performing various tasks. These might include:
- Following moving targets with your eyes or finger
- Responding to visual or auditory cues
- Coordinating movements between both hands
- Maintaining balance while completing cognitive challenges
Each activity is customized to your abilities and symptoms. The system records precise measurements – reaction times to the millisecond, accuracy percentages, movement patterns – creating a detailed map of your neurological function.
Uncovering Hidden Dysfunction
The NSI excels at revealing subtle problems that profoundly impact daily life:
POTS/Dysautonomia: Delayed processing speeds and reaction times that explain the “brain fog” and difficulty with quick decisions
Post-Concussion: Breakdown in eye-hand coordination contributing to difficulty with sports, driving, or screen work
Migraine: Visual-motor integration problems that may trigger attacks during visually demanding tasks
Neurodevelopmental Disorders: Specific patterns showing where sensory processing breaks down, guiding targeted intervention
Long COVID: Multi-system coordination deficits explaining the overwhelming fatigue from simple tasks
From Assessment to Treatment
Based on your assessment results, Dr. Diana Tyler incorporates specific NSI training protocols into your 5-day, 10-day, or 15-day intensive neurorehabilitation program.
Treatment applications include:
Targeted Eye Movement Training: Customized exercises to improve tracking, saccades, and convergence based on your specific deficits
Cognitive-Motor Challenge: Progressive tasks that rebuild the connection between thinking and moving
Bilateral Integration Therapy: Activities to enhance communication between brain hemispheres
Reaction Time Training: Exercises to speed up processing and response times
Visual Field Expansion: Protocols to improve peripheral awareness and visual attention
The system adapts difficulty in real-time, ensuring you’re always working at the optimal challenge level for neuroplastic change – not too easy, not overwhelming, but just right for promoting brain adaptation.
Why Technology-Assisted Assessment Matters
Traditional neurological exams rely heavily on subjective observation. The NSI provides objective, quantifiable data that:
- Documents the true extent of your dysfunction
- Tracks improvements too subtle to feel initially
- Adjusts treatment difficulty automatically
- Motivates through visible progress
- Validates your experience with concrete evidence
This objectivity is particularly crucial for conditions where symptoms fluctuate or when you’ve been told “all your tests are normal” despite clear functional problems.
Real-World Impact
Improvements in sensorimotor integration translate directly to daily life:
Enhanced Safety: Better reaction times for driving and navigating environments
Reduced Fatigue: More efficient brain processing means less energy expenditure
Improved Focus: Better filtering of sensory information reduces distractibility
Increased Confidence: Smoother coordination in sports, work, and social situations
Clearer Thinking: Improved integration frees cognitive resources for higher-level tasks
Integration with Comprehensive Testing
The NSI findings combine with data from:
- CNS Vital Signs cognitive assessment
- Vestibular First Insight PRO+ goggles
- Balance Tracking Systems
- Comprehensive neurological examination
This multi-factorial assessment approach ensures we understand not just what’s happening, but why – allowing Dr. Tyler to address root causes using the latest knowledge in clinical neuroscience and neuroplasticity.
Tracking Your Progress
We use the NSI throughout your treatment program to monitor improvements. The system generates clear visual reports showing:
- Reaction time improvements
- Accuracy increases
- Coordination enhancements
- Processing speed gains
Patients often see measurable progress within the first few days of treatment – objective proof that their brain is adapting and healing. This immediate feedback provides hope and motivation during the intensive rehabilitation process.
The Neuro Sensorimotor Integrator at Aura Functional Neurology Center offers both precise assessment and targeted treatment for the complex sensory-motor integration problems that underlie many neurological conditions. Whether you’re struggling with post-concussion symptoms, dysautonomia-related brain fog, or other neurological challenges, the NSI helps identify exactly where your processing breaks down and guides effective intervention to restore optimal function.